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Individual
DR. MICHAEL DALE STOLBA
Active
Individual
DR. MICHAEL DALE STOLBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1623
AR
111N00000X
Chiropractor
Primary
9041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026HJ
BC/BS GROUP #
TX
01
—
5F123
BC/BS AR GROUP #
AR
01
—
5X792
BC/BS AR PROVIDER #
AR
01
—
8F2413
BC/BS PROVIDER #
TX
Enumeration date
09/20/2006
Last updated
07/08/2007
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